A client has been taking diazepam for three months. Which of the following statements by the client would indicate the medication is effective?
"I feel like I am able to cope with routine stress at my job."
"I will need to take this medication for the rest of my life."
"I thought the medication would make me think clearly, but I don't see a change."
"I often increase the amount of this medication when I'm feeling really stressed at home."
The Correct Answer is A
Diazepam is a benzodiazepine medication used to treat anxiety disorders. It works by enhancing the activity of certain neurotransmitters in the brain. A therapeutic outcome for this medication would be a decrease in anxiety and an improved ability to cope with stress.
Option B is not correct because it does not indicate whether the medication is effective or not.
Option C is not correct because it indicates that the client does not see a change in their symptoms.
Option D is not correct because it indicates that the client is self-medicating and increasing their dose without consulting their healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The therapeutic range for valproic acid is 50-100 mcg/mL ¹. In this case, the client has a serum range for valproic acid of 130 mcg/mL, which is above the therapeutic range but below the toxic level of >100 mcg/mL ¹. The nurse would anticipate that the provider will increase the daily dose of valproic acid to bring the serum range within the therapeutic range.
Option A is incorrect because the serum range is above the therapeutic range and changes may be needed.
Option C is incorrect because changing the medication may not be necessary if adjusting the dose can bring the serum range within the therapeutic range.
Option D is incorrect because decreasing the dose would lower the serum range further below the therapeutic range.
Correct Answer is B
Explanation
It is important for the nurse to understand why the client is refusing to take the medication. There may be underlying reasons such as side effects, fear, or misunderstanding about the medication. By investigating and addressing these concerns, the nurse can help the client make an informed decision about their treatment.
Option A may not address the underlying reasons for noncompliance and could be perceived as confrontational.
Option C may be appropriate after understanding the reasons for noncompliance and discussing them with the provider.
Option D may also be appropriate in some cases, but it is important to first understand the reasons for noncompliance before involving a social worker.
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